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General NPI Number Information
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NPI Number | 1548896160
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Entity Type | Organization
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Legal Business Name | ALBRYNN MENTAL HEALTH
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Dates
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Enumeration Date | 03/15/2020
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Last Update Date | 03/15/2020
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Provider Practice Location Address
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Address Line | 307 N MAIN ST
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City | ATHENS
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State | PA
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Zip | 18810-1710
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Country | US
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Telephone | 570-888-1541
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Fax | 888-228-9073
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Provider Business Mailing Address
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Address Line | 307 N MAIN ST
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City | ATHENS
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State | PA
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Zip | 18810-1710
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Country | US
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Telephone | 570-888-1541
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Fax | 888-228-9073
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | STEPHANIE KING
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Credential | DNP
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Telephone | 570-888-1541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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